Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Mary Carres, PA-C

Individual provider Medical Physician Assistant · NPI 1225604176

Shannon Mary Carres, PA-C is a Physician Assistant in Marlton, New Jersey. Graduated from Yale University School of Medicine in 2021, 5 years ago. Practices with Thriving Lane, a 24-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
5
Trained at
Yale University School of Medicine
Licensed in
FL
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5 Greentree Ctr Ste 117
Marlton, NJ 08053-3422
Phone: (609) 484-0106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3100 17th St Ste A, Saint Cloud, FL 34769-6021 — (407) 892-0009

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 9117419 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9114719 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225604176
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Thriving Lane — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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